Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jack Nathan Poles, MD

Individual provider Internal Medicine Physician · NPI 1962484949

Mr. Jack Nathan Poles, MD is an Internal Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9100 N 2nd St Ste 121
Phoenix, AZ 85020-2446
Phone: (602) 997-7331
Fax: (602) 870-4512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence AP6412085 (AZ)

Record details

NPI number1962484949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESSeptember 24, 2013

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